European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 627-636, December 2008

Neuro-rescue during Carotid Stenting

Service of Interventional Radiology, Ospedale Regionale di Lugano, sede Civico, Via Tesserete 46, 6900 Lugano, Switzerland

Received 5 August 2008; accepted 5 August 2008. published online 19 September 2008.

Abstract 

This paper deals with the treatment of acute neurological complications that may occur during carotid angioplasty with stenting. Endovascular ‘neurorescue’ techniques include mechanical thrombus removal (using retrieval devices, aspiration catheters, and wire or balloon fragmentation) and local and intra-arterial thrombolysis. The treatment of acute thrombosis and dissection during carotid artery and stenting will also be discussed.

Knowledge of these additional skills is essential to increasing the safety of carotid stenting procedures.

Keywords: Carotid artery disease, Therapy, Complication, Stent, Angioplasty

 

PII: S1078-5884(08)00418-8

doi:10.1016/j.ejvs.2008.08.003

European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 627-636, December 2008